Client Forms

If you are interested in the counseling services of Ellis Counseling, please take a moment to download and fill out our new client intake form. We also have copies available at our clinic; however, filling out the form beforehand will save time at your first visit.

AUTHORIZATION FOR COUNSELING SERVICES for minors
Insurance Questions and coverage
Authorization to Release Records

Adult Forms

Ellis Counseling Intake Form
Ellis Counseling Informed Consent
Consent to file insurance

Child and Adolescent Forms

Ellis Counseling Child-Adolescent Intake Form
Ellis Counseling Informed Consent
Adolescent Informed Consent Form (Ages 14 and above)
Consent to file insurance

Couples Forms

Ellis Counseling Intake Form
Ellis Counseling Informed Consent
Couple Informed Consent
Consent to file insurance